Provider Demographics
NPI:1700479060
Name:HOUCK, GREGORY (DC)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:HOUCK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 OXMEAD RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4215
Mailing Address - Country:US
Mailing Address - Phone:609-386-6100
Mailing Address - Fax:609-386-2838
Practice Address - Street 1:1603 OXMEAD RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4215
Practice Address - Country:US
Practice Address - Phone:609-386-6100
Practice Address - Fax:609-386-2838
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013427111N00000X
PA011685111N00000X
NJ38MC00794900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor